Recommendations to enhance constructivist-based learning in Interprofessional Education using video-based self-assessment

Introduction: Interprofessional collaboration is crucial to the optimization of patient care. Aim: This paper aims to provide recommendations for implementing an innovative constructivist educational concept with the core element of video-based self-assessment. Methodology: A course for students in medicine, physiotherapy, and nursing was developed through interprofessional, cross-institutional collaboration. The course consisted of drawing on prior knowledge about the work done by each professional group in regard to a specific clinical scenario and an interprofessional treatment situation, filming a role play of this treatment situation, and a structured self-assessment of the role play. We evaluated the preparation and implementation of the three courses conducted thus far. Concrete recommendations for implementation were made based on evaluation sheets (students), open discussions (tutors, instructors, institutions) and recorded meeting minutes (project managers, project participants). Results: Basic recommendations for implementation include: selecting appropriate criteria for self-assessment and a simulated situation that offers members of each professional group an equal opportunity to act in the role play. In terms of administrative implementation we recommend early coordination among the professions and educational institutions regarding the target groups, scheduling and attendance policy to ensure participant recruitment across all professions. Procedural planning should include developing teaching materials, such as the case vignette and treatment scenario, and providing technical equipment that can be operated intuitively in order to ensure efficient recording. Conclusion: These recommendations serve as an aid for implementing an innovative constructivist educational concept with video-based self-assessment at its core.


Which benefit did you draw from the workshop??
Exchange regarding rehabilitation in patients after stroke within and outside of the own profession.
Informal interesting discussions between participants and instructors in the breaks.
Extension of knowledge and sensitization regarding communication with other health care professions.
For me personally no substantial benefit, at least not yet, but may be later, as soon as my experiences increase.
It becomes easier to put oneself in the position of another profession and can , in the long run, optimize interprofessional cooperation.
Widen the own thinking, get an insight into the work of others.
Learn a new technique for positioning a patient from the physiotherapists.
It was interesting to get to know the point of view of the other health care professions, revise own habits.

Welchen Effekt hatte es für Sie, sich im Video zu sehen?
I was confirmed in my principal way of communicating, but I should work on my body language.
Self-control is possible in a completely unrestricted way, without being distorted in the memory. Improvement of self reflexion in respect to verbal and non-verbal communication.
Perception of own verbal and non-verbal communication.
Observe and revise own errors.
Initially terrible feeling ( dependent on role and working group).
Self assessment and identification and -revision of own errors Self reflexion regarding the own behavior. I appear more competent, than I thought and should act more self-confident.
In Video only once a patient and once as nurse. Role as physician could have possibly revealed unconscious reaction towards new situation.
Was surprised that I appeared more competent and self-confident than I thought and I felt during the role play and video recording .

Which effect did you realize upon assuming a different health care professional role?
To experience once a problem from a different angle and to see the patient from a different perspective.
It was funny and amusing to assume the role of a different health care professional.
Too see how helpless I was in the other healthcare profession and to see how much they accomplish.
Difficult, since the situation resembled strongly my routine field of work.
To know, what others are workingfor and what they achieve.
Feeling of insecurity when trying to adjust to the other profession.
Little new insight due to previous working experience in the field of nursing. Role of physiotherapist would have been more interesting for me.

How did your appreciation for the work of your colleagues change?
No big change in appreciation.
My appreciation for the other health care professions did increase. I got more understanding for errors in communication and interprofessional cooperation. I got a much better feeling for the relevance of the other professions and the need to work together towards the same goals. Appreciation increased quite a lot. Understanding enables appreciation.
More understanding and more "sensitivity" towards the other health care professions.
A bit more, since I can the other better within the context. No prejudices.
Not at all. Colleagues are colleagues.
I already appreciated my colleagues.
Towards the positive in respect to paying attention to each other. Did increase. I already had a high level of appreciation whaich was further confirmed.

No relevant change.
No obvious change, since I already tried to value the different health care professions equally.

How far can you put yourself now in the working position of your colleagues?
I have a much clearer idea regarding the tasks of the other health care professions.
I can judge much better now, where professional support is useful or disturbing. I know, how I can support the colleagues and support their work. Through the knowledge and the self-experience I got a good insight into the work of the others. I can imagine much better, how and with which effort the other are working and what I can do to support them. Better idea regarding the timing of tasks .
Difficult, time will show the effect.
Nice and precise insight, which facilitates understanding of the others.
Deepened my understanding Not completely, but to a great deal Insight did grow. I can perceive more and even non obvious aspects as before The nursing staff carries more responsibilities than visisble in daily clinical routine.
No real change.

How did your attitude towards the other health care professions change?
Not at all, I am appreciating persons not professions..

I became more opened and less biased.
More empathy and understanding.
A bit, since I know better what they are doing. I can appreciate respect their work more.
I am respectful and friendly by nature and did not experience any changes.
Not at all (see 12.) Towards the positive, especially in term of mutual consideration.

Increased appreciation.
My attitude was already positive before the workshop.

No real change.
No big change, since I always tried not to make a difference in my appreciation for the different health care professions.

What did you like most in this workshop?
The heterogenous but nevertheless very harmonic group, the discussion, also during the breaks.
The change of perspective and the video-based self-control are great tool and I enjoyed using them quite a lot.
The team was very nice and friendly and the class not too big. The informal discussion in the breaks were especially helpful.
Good balance between practical exercises and theory.
The video analysis and the chance to meet the other professional health care takers in an informal atmosphere.
The timing was very good and worked out exactly -not too little time and not too much time to get a deep insight in other fields and professions Informal discussions with other health care professionals, video recording.
The exchange between the different groups of professions, especially the informal exchange during the breaks.
Playful introduction to foster self-perception and perception via the others during the role play. Chance to get in touch with the others during the breaks.
Stepwise increase in difficulty and complexity of the tasks.

What are your suggestions for improving the workshop?
Clear definition of tasks, introductory remarks regarding the over all of the workshop from the point of view of the funding organisation and regarding the potential consequences of the evaluation. Clearer wording of the assigned tasks, keep the planned structure and responsibilities of the of instructor team ( keep the allotted time slot , do not extend time slot at the cost of other discussion partners, let everybody finish his argument, let the moderator structure the discussion). I would prefer when participants had a greater influence on the structure of the workshop. We would have had good ideas how to manage certain steps. The instructor did interfere too much. Less detailed questions for video analysis. Limit discussion without trying to cover every detail.
Shorten the moderated video analysis discussion, reduce repetitions and redundance. Facilitate more interactions between students and less between. Shorten and simplify questionnaires. Let discussion develop, do not interrupt discussions.
Provide more details for clinical case. Give more room to the students to express their thoughts.
Video analysis questionnaire are too complex, one can either watch the video or respond to the questions, but not both at the same time. Therefore please limit questionnaires.. Less theory and less redundant discussions, shorten workshop to one day or two half days.
I wish I would have had more unsupervised time for interprofessional exchange, possibly supported by providing a defined topic for the discussion.
Less guidance for the analysis would allow more exchange for impressions and perceptions from the students side, consider to reconstruct the clinical case towards a less compliant patient to become more realistic